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User-generated Content and Influencer Marketing Involving E-cigarettes on Social Media: a Scoping Review and Content Analysis of YouTube and Instagram

Overview
Publisher Biomed Central
Specialty Public Health
Date 2023 Mar 21
PMID 36941553
Authors
Affiliations
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Abstract

Background: Evidence suggests that experimentation with e-cigarettes among young people is increasing. Social media is widely used by young people with user-generated content and influencer marketing particularly influential in promoting products. This paper documents a snapshot of online user-generated content and influencer marketing related to e-cigarettes on YouTube and Instagram.

Methods: Scoping review of relevant e-cigarette-related content on two social media platforms popular with youths, YouTube and Instagram, between June and August 2021. Content analysis was undertaken to examine text, audio, and video content, recording age restrictions, health warnings, page characteristics, and post characteristics. Narrative post content was coded using a coding frame that was developed inductively in response to emergent categories.

Results: Vaping was portrayed positively on social media; of the posts analysed, 86.5% (n = 90 of 104) of Instagram posts and 66.0% (n = 64 of 97) of YouTube videos. Warnings about age restrictions and health (e.g., nicotine addiction/toxicity) did not feature in the majority of posts; 43.3% (n = 42) of YouTube videos (n = 42) contained an age warning compared to 20.2% of Instagram posts (n = 21). While 25.8% (n = 25) of YouTube videos and 21.2% of Instagram (n = 22) posts contained a health warning.

Conclusion: Of concern is the fact that the vast majority of YouTube and Instagram content about e-cigarettes promoted their use, and typically the content does not contain age and/or health warnings. These findings may highlight a priority for governmental policy to restrict the ability of marketers to reach youths with social media content promoting e-cigarettes.

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References
1.
Henry T, Kligerman S, Raptis C, Mann H, Sechrist J, Kanne J . Imaging Findings of Vaping-Associated Lung Injury. AJR Am J Roentgenol. 2019; 214(3):498-505. DOI: 10.2214/AJR.19.22251. View

2.
Zare S, Nemati M, Zheng Y . A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type. PLoS One. 2018; 13(3):e0194145. PMC: 5854347. DOI: 10.1371/journal.pone.0194145. View

3.
OBrien E, Navarro M, Hoffman L . Mobile website characteristics of leading tobacco product brands: cigarettes, smokeless tobacco, e-cigarettes, hookah and cigars. Tob Control. 2018; . DOI: 10.1136/tobaccocontrol-2018-054549. View

4.
Cole-Lewis H, Pugatch J, Sanders A, Varghese A, Posada S, Yun C . Social Listening: A Content Analysis of E-Cigarette Discussions on Twitter. J Med Internet Res. 2015; 17(10):e243. PMC: 4642379. DOI: 10.2196/jmir.4969. View

5.
Kucharska M, Wesolowski W, Czerczak S, Socko R . [Testing of the composition of e-cigarette liquids - Manufacturer-declared vs. true contents in a selected series of products]. Med Pr. 2016; 67(2):239-53. DOI: 10.13075/mp.5893.00365. View